I've always thought it was a little strange that one lobbying sector (health insurance providers and pharmaceuticals) had the power to override the remaining sectors. Single payer health care seems very appealing to business. It's half the cost of what we have. Isn't it good for business to reduce health care costs?
And yet here's IBM attempting to destroy single payer in Vermont. That's kind of hard to understand. I understand the right wing claim that the quality of health care would suffer. That claim is totally bogus, but health insurance providers will offer it because single payer threatens their gravy train. But why would IBM care about that? They should care about profits. Cheaper single payer should be more profitable for them.
But here's the problem as described in the linked article. The present state of affairs provides an excellent recruitment and retention tool. Say you are an engineer that's put a bit of money away and you'd like to take a year off. Maybe hike the Appalachian trail or try and bike across the country. That's manageable if health care is provided by the state. But not with our present system. You can't be without health care in this country, which means you need to be employed always.
Also the fear of being unemployed keeps wages low. You'll work for less because you are scared to be without. And you should be scared, because if you develop health problems without insurance you can be in a world of hurt. Worker insecurity is great for the economy as Alan Greenspan explained.
The other thing this does is crush start up companies. Health care is a tremendous start up hurdle for a new small business. The status quo reduces competition.
Big business isn't a monolith. Some sectors might prefer a cheaper, higher quality system. But so far it seems there are not enough in that sector for us to make this kind of a change. The kind of change that would not only deliver freedom for everyone, but would deliver better care, eliminate health related bankruptcies, and eliminate the deficit in one fell swoop. An ideal solution supported by the vast bulk of the population. But not supported by the people that count. That is, some elements of big business.